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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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HENAO CORDERO, JOSE ANDRES       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 711 STANTON L YOUNG SUITE: 430
OKLAHOMA CITY OK 73104

Address last updated on 2/2/2024
Phone #: (405) 261-6434
Fax #: (405) 271-6264
County: OKLAHOMA
License: 40990
Dated: 4/14/2023
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Infectious Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Esc Auto De Cien Med De Centro America, San Jose, Costa Rica
Graduated: 3 / 2016
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
711 STANTON L YOUNG SUITE: 430
OKLAHOMA CITY OK 73104

Phone #: (405) 261-6434
Fax #: (405) 271-6264
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHAUNTAE ANTWINE APRN 101646
SERINA MADDEN APRN 74462
MORGAN MICHELLE MUELLER PA 2965

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